Bridges through the stroke pathway the bridges kingston project
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Bridges through the stroke pathway The Bridges Kingston Project. Nicki Bailey Project Coordinator – Bridges Kingston Project. What is Bridges? A quick reminder…. The Bridges Kingston Project. South-West London Academic Health and Social Care System

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Bridges through the stroke pathway The Bridges Kingston Project

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Bridges through the stroke pathwayThe Bridges Kingston Project

Nicki Bailey

Project Coordinator – Bridges Kingston Project


What is Bridges? A quick reminder…


The Bridges Kingston Project

South-West London Academic Health and Social Care System

Pilot: First time social care practitioners included

Training members of different teams in mixed workshops

Objectives:

  • Enable greater focus on promoting self-management throughout the stroke pathway

  • Improve continuity of care for stroke survivors in Kingston

  • Improve knowledge sharing and cross team working between teams on Kingston stroke pathway

    Conduct an evaluation of the project


HASU

St Georges (20 beds)

Community Resources

RBK Social work input/ care package/ individual budget

STROKE UNIT

Kingston Hospital

(20 beds)

In-patient Rehabeg Cedars Unit, QMH

Input from RBK Stroke Co- coordinator

Home with Community Rehab:

ICT, Richmond CNRT

Input from voluntary organisations and/ private organisations

Home with no support required

Context Mapping & Preparations

Project steering group

Interviews with teams

  • Role of service

  • Current goal-setting practices

  • Approaches to self-management

  • Cross-team working within pathway

    Adaptations to training

  • Kingston pathway specific

  • ‘Pathway’ exercise

    Awareness raising of the project


The Kingston Stroke Pathway


Who participated?

54 participants completed intro & follow up

Mix of teams and professions BUT social care restructure

Executive session for GPs and managers


Results: Change in Practice

Overall change in beliefs and attitude

towards self-management

53% thought their practice had changed

28% used workbook

  • “It’s like a refresher. It reminds us about giving people hope, listening to people’s goals”

  • “I think it’s ended up this new thing, rather than just chatting to patients about goals, actually putting it down to make it a more visual tool”


Results: Barriers to using Bridges

55% experienced barriers to using Bridges. The top 4 :


Results: Cross team training

99% said workshops enabled meeting people from other teams

19% felt team better connected (49% not sure)

  • “I think it’s that connection having met them – oh yeah, you were on the training – on the telephone I just feel there is more of a connection there now”

  • “It’s actually opened my eyes a bit to the pathway and how it all links together”

  • HOWEVER

  • “It was interesting to meet people from other teams. But I don’t think there’ll be a lasting link.”


Results: Bridges within the stroke pathway

78% thought could be used successfully throughout pathway

Potential to improve continuity of care for patients in 3 ways:


Results: Is Bridges relevant to social work?

Bridges seen as “a good fit” with social work practice because:


What’s next?

Investigating sustainability

‘Based on Bridges’ – not just stroke

Study continuity of care from

stroke survivor’s point of view


Any Questions?

Visit: http://bridges-stroke.org.uk

Email me: [email protected]


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